Basic Health Program

​The Kentucky Department for Medicaid Services (DMS) is developing a Basic Health Program (BHP) in accordance with 42 CFR Part 600.

What is a BHP?

A BHP is a bridge between the Medicaid program and coverage through a qualified health plan on the state-based exchange or other commercial health insurance. It will provide more affordable options including no deductibles and lower premiums and cost sharing amounts. A BHP also has continuous enrollment so individuals can apply any time during the year. Find more information at Basic Health Program​>

Who is it for?

​Adults younger than 65 with incomes between 138 percent and 200 percent of ​the federal poverty level are eligible for the BHP.​

​What does it cover?

Benefits are the same as the state Essential Health Benefits Benchmark Plan. Vision and dental benefits are included for individuals up to age 21. Vision and dental plans may be offered at an additional expense for adults age 21 and older.

​When will this happen?

Subject to CMS approval, DMS plans to launch the BHP in November 2023 for coverage effective Jan. 1, 2024.

How does this affect providers?

Providers should enter into contracts with BHP issuers to be part of their network similar to Medicaid or the state-based exchange.

What's next?​

DMS will seek public input to develop Kentucky’s Blueprint, the form the state must submit for CMS approval. Keep an eye out for public comment notices as well as other communications from DMS about the BHP. Issuers interested in offering a BHP plan will be reaching out to providers to create a network.​

More Information

If you have questions, please email Basic Health Program Support.

​​​What's New

Basic Health Plan Notice

DMS has announced the development of a Basic Health Plan. Read the provider notice​ for more information.